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1 LBBB and NICD patients had similar right ventricular tot
2 LBBB patients typically demonstrated (1) a single LV bre
3 LBBB was more frequent after implantation of the Medtron
4 LBBB, intraventricular conduction defect, and RBBB combi
5 LBBB-3 revealed more scar (2 [2-5] segments) compared wi
6 o heart failure patients (narrow QRS [n=18], LBBB [n=11], NICD [n=23]) underwent 3-dimensional electr
7 -1=double-peaked systolic shortening (n=28); LBBB-2=early systolic shortening followed by prominent s
8 al of 111 patients with DCM, 51 with CAD (29 LBBB), and 60 without CAD (30 LBBB) were studied with ec
9 1 with CAD (29 LBBB), and 60 without CAD (30 LBBB) were studied with echocardiography and cardiopulmo
11 recordings were analyzed in 85 patients: 72 LBBB block pattern and 16 controls (narrow QRS, n=11; ri
13 ents were performed in 22 dogs, 9 with acute LBBB, 7 with chronic LBBB combined with infarction (embo
14 % ]; P=0.009) increase than BiV-Opt, against LBBB as reference; BiV-Opt and biventricular pacing at A
17 ss I or II and ejection fraction </= 30% and LBBB derive substantial clinical benefit from CRT-D: a r
18 by prominent systolic stretching (n=34); and LBBB-3=pseudonormal shortening with less pronounced late
27 as an independent predictor in both RBBB and LBBB and, in addition, in LBBB, QRS/STT angle and ST J-p
28 ection fraction was similar between RBBB and LBBB patients (24.9% vs. 25.0%; p = 0.98); however, RBBB
31 nto left, right, and indetermined-type BBBs (LBBB, RBBB, and intraventricular conduction defect, resp
32 eath was not significantly different between LBBB patients with or without history of IAT (HR: 0.50,
34 mong patients with left bundle branch block (LBBB) (hazard ratio [HR]: 0.58; p < 0.001) and no signif
37 tudy patients with left bundle branch block (LBBB) and 0, 1, 2, or >/=3 comorbidities, including rena
39 erized by isolated left bundle branch block (LBBB) and a history of progressive left ventricular (LV)
40 etween that during left bundle branch block (LBBB) and LV pacing, reflects optimal resynchronization,
41 ween patients with left bundle-branch block (LBBB) and normal QRSd and if synchrony improved during p
42 mpact of new-onset left bundle branch block (LBBB) and permanent pacemaker implantation (PPI) after t
43 that patients with left bundle branch block (LBBB) be treated with cardiac resynchronization therapy
45 patients with non-left bundle branch block (LBBB) conduction abnormality have not been fully explore
46 ) patients without left bundle branch block (LBBB) did not derive a significant reduction in risk of
47 RT-D patients with left bundle branch block (LBBB) enrolled in MADIT-CRT (Multicenter Automatic Defib
48 w-onset persistent left bundle branch block (LBBB) in patients undergoing transcatheter aortic valve
51 Patients without left bundle branch block (LBBB) or patients with smaller QRS duration (QRSd) respo
54 onary syndrome and left bundle branch block (LBBB) present a unique diagnostic and therapeutic challe
56 hearts with acute left bundle branch block (LBBB) showed that endocardial left ventricular (LV) paci
57 cardiac effects of left bundle-branch block (LBBB) using myocardial contrast echocardiography (MCE) t
60 re 1281 (70%) with left bundle-branch block (LBBB), 228 (13%) with right bundle-branch block, and 308
61 hic morphology was left bundle branch block (LBBB), and in 15, it was nonspecific intraventricular co
62 ar, the effects of left bundle branch block (LBBB), coronary artery disease (CAD), and total isovolum
63 t to patients with left bundle branch block (LBBB), heart failure patients with narrow QRS and nonspe
65 mong patients with left bundle branch block (LBBB), women had a 21% lower mortality risk than men (HR
66 py candidates with left bundle branch block (LBBB)-like electrocardiogram morphology (left ventricula
67 tion, (2) multiple left bundle-branch block (LBBB)-type VTs, and (3) an abnormal endocardial substrat
75 ed dogs with acute left bundle-branch block (LBBB, n=10) and chronic LBBB with tachypacing-induced he
76 patients with non-left bundle branch block (LBBB; including right bundle branch block, intraventricu
77 tion 26+/-7%) with left bundle-branch block (LBBB; QRS duration 174+/-18 ms) were atriobiventricularl
78 2.73 [95% CI, 1.78 to 4.13]; P < 0.001), but LBBB-morphology EIVA was not (hazard ratio, 0.82 [CI, 0.
82 bundle-branch block (LBBB, n=10) and chronic LBBB with tachypacing-induced heart failure (LBBB+HF, n=
83 d concentric remodeling), and 6 with chronic LBBB and heart failure (rapid pacing, LBBB+HF, and eccen
84 n 22 dogs, 9 with acute LBBB, 7 with chronic LBBB combined with infarction (embolization; LBBB plus m
85 locity and pressure, with native conduction (LBBB) and during biventricular pacing at atrioventricula
89 er reason, then categorized as having either LBBB or no LBBB and QRS duration of either 150 ms or gre
90 LBBB combined with infarction (embolization; LBBB plus myocardial infarction, and concentric remodeli
92 ] index: 0.80 +/- 0.03 vs. 0.58 +/- 0.09 for LBBB, p < 0.04; CURE 0-->1 is dyssynchronous-->synchrono
93 dian difference in CURE-SVD (range, 0-1) for LBBB-HF group versus narrow-QRS-HF group (-0.40; 95% con
94 io, 3.79; confidence interval, 2.95-4.87 for LBBB and hazard ratio, 3.53; confidence interval, 2.14-5
95 al deformation pattern is characteristic for LBBB and results from intraventricular dyssynchrony.
97 inical composite score improved with CRT for LBBB subjects (odds ratio, 0.530; P=0.0034) but not for
99 ad LBBB and a QRSd >/=150 ms, 85 (17.1%) had LBBB and QRSd <150 ms, 92 (18.5%) had non-LBBB and a QRS
100 were included in the study; 216 (43.5%) had LBBB and a QRSd >/=150 ms, 85 (17.1%) had LBBB and QRSd
103 septal deformation patterns were identified: LBBB-1=double-peaked systolic shortening (n=28); LBBB-2=
107 r in both RBBB and LBBB and, in addition, in LBBB, QRS/STT angle and ST J-point depression in aVL wer
109 tion >/= 140 ms may warrant consideration in LBBB as an indication for further diagnostic evaluation
110 -CRT study, the clinical benefit of CRT-D in LBBB patients was not attenuated by prior history of IAT
115 ICD) were significantly (P < 0.001) lower in LBBB patients (0.47; P < 0.001) than in non-LBBB patient
117 independent predictor of incident HF only in LBBB, with more pronounced risk at QRS >/= 140 ms than a
119 and MBF reserve is homogeneously reduced in LBBB patients with left ventricular systolic dysfunction
120 pulse conduction was significantly slower in LBBB+HF than in LBBB hearts (67+/-9 versus 44+/-16 ms, r
121 was significantly slower in LBBB+HF than in LBBB hearts (67+/-9 versus 44+/-16 ms, respectively), an
125 ors of all-cause mortality were TAVI-induced LBBB (hazard ratio [HR], 1.54; confidence interval [CI],
128 LV pacing with short AV delay and intrinsic LBBB activation accurately predicted the optimal AV dela
132 prior conduction disturbances developed new LBBB following TAVI with a balloon-expandable valve, alt
134 mmend that patients with new or presumed new LBBB undergo early reperfusion therapy, data suggest tha
135 ; adjusted HR, 1.18 [99% CI, 1.10-1.26]), no LBBB and QRS duration of 150 ms or greater (45.7%; HR, 1
136 rd ratio [HR], 1.30 [99% CI, 1.18-1.42]), no LBBB and QRS duration of 150 ms or greater (30.7%; HR, 1
137 30.7%; HR, 1.34 [99% CI, 1.20-1.49]), and no LBBB and QRS duration of 120 to 149 ms (32.3%; HR, 1.52
138 45.7%; HR, 1.16 [99% CI, 1.08-1.26]), and no LBBB and QRS duration of 120 to 149 ms (49.6%; HR, 1.31
139 then categorized as having either LBBB or no LBBB and QRS duration of either 150 ms or greater or 120
140 LBBB and QRS duration less than 150 ms or no LBBB regardless of QRS duration, was associated with low
142 with LBBB and QRSd <150 ms (8 +/- 10%), non-LBBB and QRSd >/=150 ms (5 +/- 9%), and non-LBBB and QRS
144 , and dyslipidemia, and had more often a non-LBBB (left bundle branch block) wide QRS complex, and lo
145 benefit was observed in patients with a non-LBBB QRS pattern (right bundle-branch block or intravent
147 < 0.001) and no significant effect among non-LBBB patients (HR: 1.05; p = 0.82, p for the difference
148 CRT-D was significantly increased among non-LBBB patients (HR: 3.62; p = 0.002, p for the difference
153 ad LBBB and QRSd <150 ms, 92 (18.5%) had non-LBBB and a QRSd >/=150 ms, and 103 (20.8%) had non-LBBB
164 ients with LBBB with similar outcomes to non-LBBB patients (HR, 1.32 [95% CI, 0.93-1.62]; difference
165 ystolic volume index (P<0.0001), whereas non-LBBB patients had smaller decreases (6.7 mL/m(2); P=0.18
173 le, we describe the evolving epidemiology of LBBB in acute coronary syndromes and discuss controversi
176 h acute myocardial infarction, regardless of LBBB chronicity, and that a significant proportion of pa
178 or the evaluation of the impact of new-onset LBBB and periprocedural PPI post-TAVR were sourced, resp
181 e the impact of (1) periprocedural new-onset LBBB or PPI post-TAVR on cardiac mortality and all-cause
182 for studies reporting raw data on new-onset LBBB post-TAVR and the need for PPI or mortality at 1-ye
191 g septal hypocontractility, and into pattern LBBB-3 by imposing additional left ventricular free wall
193 ents (group A; 27.4%) developed a persistent LBBB and the remaining 594 (group B; 72.6%) did not.
194 registry of high-volume centers, persistent LBBB after CoreValve Revalving System transcatheter aort
195 associated with a higher rate of persistent LBBB, which in turn determined higher risks for complete
198 ing CRT-D implantation in clinical practice, LBBB and QRS duration of 150 ms or greater, compared wit
199 tion were compared among patients with RBBB, LBBB, nonspecific LV conduction delay, and QRS <120 ms.
200 nefit was larger in concentrically remodeled LBBB plus myocardial infarction than in eccentrically re
204 uction was observed in patients with surface LBBB pattern, ranging from no discrete block to CCB.
206 hanical dyssynchrony is induced by RBBB than LBBB in failing hearts, and the corresponding impact of
207 ted with significantly larger scar size than LBBB is, and occlusion of a proximal LAD septal perforat
209 stationary or moving, and we also find that LBBB will cause the left ventricle to contract later tha
210 yses and inherent log-rank tests showed that LBBB was not associated with higher all-cause mortality,
211 rams from the LV free wall were later in the LBBB patients in absolute terms (155 ms [SD 23] versus 6
216 traction pattern assessment to identify true LBBB activation provided important prognostic informatio
219 investigate whether the absence of a typical LBBB mechanical activation pattern by 2DSE was associate
220 d syndrome, including: 1) history of typical LBBB for >5 years; 2) LV ejection fraction (EF) >50%; 3)
222 B, 5+/-2 versus 1+/-1; P=0.0004; NICD versus LBBB, 4+/-2 versus 1+/-1; P=0.001); (2) evidence of earl
223 ior or anterior fascicles: narrow QRS versus LBBB, 5+/-2 versus 1+/-1; P=0.0004; NICD versus LBBB, 4+
227 d with resynchronization pacemakers, 13 with LBBB (mean QRS, 171 ms) and 9 with normal QRSd <120 ms (
228 hree patients with DCM, 48 with CAD (16 with LBBB), and 25 without CAD (10 with LBBB) were studied.
229 duration of 150 ms or greater, compared with LBBB and QRS duration less than 150 ms or no LBBB regard
230 of 150 ms or greater (20.9%), compared with LBBB and QRS duration of 120 to 149 ms (26.5%; adjusted
231 of 150 ms or greater (38.6%), compared with LBBB and QRS duration of 120 to 149 ms (44.8%; adjusted
238 mortality was 37.8% (n=88) in patients with LBBB and 24.0% (n=107) in patients without LBBB (P=0.002
241 ar mortality were lowest among patients with LBBB and QRS duration of 150 ms or greater (20.9%), comp
242 mission were also lowest among patients with LBBB and QRS duration of 150 ms or greater (38.6%), comp
243 ection fraction) was better in patients with LBBB and QRSd >/=150 ms (12 +/- 12%) than in those with
244 uggest that only a minority of patients with LBBB are ultimately diagnosed with acute myocardial infa
246 low direction in heart failure patients with LBBB compared to those without LBBB during early but not
247 tal activation time (LVTAT) in patients with LBBB compared with heterogeneous activation sequences an
248 IAT during follow-up in 1,264 patients with LBBB enrolled in the MADIT-CRT (Multicenter Automatic De
251 rrected wide QRS in 54% of all patients with LBBB pattern and 85% of those with CCB (94% left intrahi
252 ctrode catheter in consecutive patients with LBBB pattern referred for device implantation (n=38) or
253 m follow-up of MADIT-CRT study patients with LBBB randomized to CRT-D, there were differences in HF o
255 ts with narrow QRS and NICD to patients with LBBB using high-density electroanatomic activation maps.
257 proach among clinically stable patients with LBBB who do not have electrocardiographic findings highl
260 8+/-9.7%; P<0.001), even among patients with LBBB with QRSd >=150 ms (HR, 0.42 [95% CI, 0.30-0.57]; P
261 ms with comparable outcomes to patients with LBBB with QRSd >=150 ms (HR, 0.93 [95% CI, 0.67-1.29]; d
262 ication scheme also identified patients with LBBB with QRSd <150 ms with comparable outcomes to patie
263 a and QRS PCA group identified patients with LBBB with similar outcomes to non-LBBB patients (HR, 1.3
264 population comprised 533 CRT-D patients with LBBB, 212 (40%) with complete left-sided reverse remodel
265 ts with LLk and 72 consecutive patients with LBBB, all without prior myocardial infarction or sternot
269 ated with better survival in both sexes with LBBB and QRS >/=130 ms, whereas there was no clear relat
272 s effect on hearts with RBBB than those with LBBB (i.e., 5.5 +/- 1.1% vs. 29.5 +/- 5.0% increase in d
273 ith an improvement in survival in those with LBBB and a QRSD >/=180 ms (adjusted HR for death: 0.78;
274 95% CI: 0.68 to 0.91), but not in those with LBBB and a QRSD 150 to 179 ms (adjusted HR for death: 1.
275 of 150 ms or longer compared with those with LBBB and QRS of 120 to 129 ms was similar between sexes
276 Sd >/=150 ms (12 +/- 12%) than in those with LBBB and QRSd <150 ms (8 +/- 10%), non-LBBB and QRSd >/=
280 th LBBB and QRS of 120 to 129 ms, women with LBBB and QRS of 140 to 149 ms had a 27% lower mortality
281 s patients with a QRSD 150 to 179 ms without LBBB had no improvement in survival with CRT-D, and thos
282 tients with a QRSD >/=180 ms with or without LBBB, whereas patients with a QRSD 150 to 179 ms without
288 neficial effect of CRT-D in patients without LBBB subsequent to development of a first HHF, possibly
296 on fraction-matched control subjects without LBBB and no CAD (group B), and 10 normal control subject
298 centers in Italy, we analyzed those without LBBB or pacemaker at admission (879 patients [82.9%]).